ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *251114*1311*^*00501*000035958*0*P*>~
GS*HS*63092*63092*251114*1311*1487113239*X*005010X279A1~
ST*270*000035958*005010X279A1~
BHT*0022*13*000035958*2511318*1311~
HL*1**20*1~
NM1*PR*2*CIGNA HEALTH SPRING  MEDICARE HMO ADVANTAGE*****PI*10158~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*NORDECK*ANDREA****MI*35670912~
DMG*D8*19580607*F~
DTP*291*RD8*20251114-20260212~
EQ*42~
EQ*30~
SE*14*000035958~
GE*1*35958~
IEA*1*000035958~